2. Models of hyperphagia with low abundance of NPY 2.1. Neural transection at the level of mesencephalon Increasing evidence suggests that bi-directional communication between the hypothalamus and hindbrain participates in the daily regulation of food intake and energy balance [ 2, 13, 14, 41, 43]. Interrupting neural connections between the hindbrain and the hypothalamus by bilateral neural transection at the level of the dorsal tegmentum in the mesencephalon produces hyperphagia and excess body weight gain [ 32, 38]. These effects develop gradually with the increase in body weight typically requiring two to three weeks after the transection surgery to be fully manifested [32, unpublished observations]. Interestingly, the hyperphagia only occurs during the dark phase, but nonetheless results in an approximately 45% increase in daily food intake [ 32]. Consistent with the increased body weight, both serum leptin and insulin are increased, but there is no change in the daily pattern of their secretion [ 32]. These transections interrupt NPYergic input from the hindbrain to the hypothalamus [ 35]. Using the micropunch technique, we have found that NPY concentrations two weeks following transection are markedly decreased (50–60%) in the PVN, medial preoptic area, median eminence and dorsomedial nucleus [ 35]. This reduction in NPY concentration is especially noteworthy since it includes the PVN, which is a major site of NPY action in the regulation of food intake [ 23, 26]. We have found that rats with these bilateral neural transections are hyper-responsive to the orexigenic effects of NPY. Injection of NPY into the third cerebroventricle of transected rats produces a greater than 50% decrease in the latency to onset of feeding and an almost two fold increase in the amount of food consumed compared to sham controls [ 34]. Thus, while the amount of NPY in feeding related hypothalamic sites, such as the PVN, may be decreased, the increased responsiveness to NPY may be sufficient to more than compensate for the decreased input and thus lead to the hyperphagia transected rats display. 2.2. Electrolytic lesion of the ventromedial hypothalamus (VMH) The classic ‘hypothalamic obesity’ or ‘VMH obesity’ syndrome follows electrolytic lesioning of the ventromedial area of the hypothalamus. Animals receiving this treatment become extremely obese and exhibit hyperphagia immediately following the lesioning surgery [ 31]. Rats with these lesions rapidly become hyperinsulinemic and hyperleptinemic in parallel with the rapid rise in body weight [ 12]. NPY mRNA levels in the medial basal hypothalamus of VMH-lesioned rats are markedly decreased relative to controls, however, the daily rhythm of NPY mRNA expression is maintained. NPY concentrations of VMH-lesioned rats are significantly decreased in several feeding relevant hypothalamic nuclei. In the dorsomedial nucleus and the lateral hypothalamic area NPY concentrations are significantly decreased by day 7 post-lesion and these decreases continue through day 21 post-lesion [ 12]. The median eminence-arcuate nuclei of lesioned rats also have significantly decreased NPY concentrations 7 days following the lesioning surgery. In the PVN, NPY concentrations are significantly decreased relative to controls within 2 days post-lesion and remain depleted through day 21 and NPY release in vitro from the microdissected PVN is significantly reduced [ 12]. However, despite these reduced levels, NPY plays a significant role in the hyperphagia of VMH-lesioned rats. Blockade of NPY action by passive immunization against NPY via intracerebroventricular administration of NPY antibodies controls the hyperphagia and restores food intake to control levels [ 9]. 2.3. Colchicine microinjection into the VMH Disruption of axoplasmic flow in the VMH with the neurotoxin colchicine [ 29, 30] produces a transient hyperphagia lasting approximately four days with a corresponding increase in body weight [ 1, 20]. As in the case of electrolytic lesion of the VMH, serum insulin and leptin levels rapidly increase in colchicine-injected rats during the period of hyperphagia and increasing body weight [ 6, 21]. NPY mRNA expression in the median eminence-arcuate region of colchicine-injected rats is significantly decreased from day 2 post-injection onward and NPY concentration in the microdissected PVN is decreased [ 20]. Using the push-pull perfusion technique, we have found that in vivo NPY release from the PVN is significantly suppressed in these rats [ 19]. Thus, colchicine injection into the VMH results in rapid down regulation of NPY in the hypothalamus. As in the case of rats with neural transactions disrupting input to the hypothalamus, colchicine-injected rats are hyper-responsive to the orexigenic effects of NPY. Intracerebroventricular injection of NPY produced a several fold increase in food intake in colchicine-injected rats relative to saline-injected rats at three different doses of NPY [ 20]. An injection of 29 pmole of NPY, a dose which is ineffective in control rats, produced substantial food intake in colchicine-injected rats [ 20]. Thus, while NPY is down regulated in colchicine-injected rats, the increased sensitivity to the orexigenic effects of NPY may be more than enough to compensate for the decreased NPY and contribute to the hyperphagia observed. Evidently an increase in NPY Y1 receptors contributes to this increased sensitivity to NPY. Analysis of NPY receptor mRNA expression in the medial basal hypothalamus revealed a significant increase in Y1 receptor mRNA in colchicine-injected rats [ 21]. Blockade of Y1 receptors with a Y1 receptor antagonist significantly reduced food intake in these rats [ 20]. Changes in other feeding-related hypothalamic neuropeptides may also contribute to the hyperphagia. The PVN is a major site of action and interaction of the NPY and melanocortin systems [ 3, 26, 42]. The melanocortin system, acting through the POMC gene product α-MSH, is believed to be a major anorexigenic component of the hypothalamic appetite regulating circuitry [ 3, 26, 42]. Electrophysiological studies demonstrate that individual neurons in the PVN respond to and integrate melanocortin and NPY signals [ 3]. The Y1/Y5 receptors for NPY and MC3/MC4 receptors for α-MSH in the PVN are targets of NPY and POMC neurons in the arcuate nucleus [ 3, 18, 24, 26, 42]. POMC mRNA in the arcuate nucleus is significantly decreased in colchicine-injected rats [ 10]. Levels of α-MSH are decreased in the micropunched PVN, dorsomedial nucleus, and perifornical hypothalamus, sites implicated in the control of food intake [ 10]. Intracerebroventricular injection of the MC3/MC4 melanocortin receptor agonist MTII prevented the hyperphagia and body weight gain seen in colchicine-injected rats [ 10]. Thus, the hyperphagia observed in colchicine-injected rats may be due to a combination of increased sensitivity to NPY and decreased melanocortin restraint on the orexigenic action of NPY. 2.4. Electrolytic lesion of the PVN Bilateral electrolytic lesions of the PVN result in hyperphagia and increased body weight gain [ 7, 27]. Profound hyperphagia occurs immediately following the lesioning surgery and continues for about a week after which it decreases and stabilizes at a lower level for several more weeks [ 7, 11]. Body weight changes follow a parallel time course [ 7, 11]. However, unlike the VMH-lesioned rats, hypothalamic NPY mRNA expression and NPY concentrations are unchanged in PVN-lesioned rats relative to sham-operated controls [ 11]. We assessed the orexigenic action of exogenous NPY in these hyperphagic PVN-lesioned rats. As in the cases discussed above, there was an increased feeding response following cerebroventricular injection of NPY in lesioned rats relative to the sham-operated controls [ 7]. The feeding response of the PVN-lesioned rats was nearly three fold greater relative to the controls at doses of 118 and 470 pmole of NPY ( Fig. 1) [ 7]. Thus, as in the cases discussed above, while there is no up-regulation of NPY in PVN-lesioned rats, increased sensitivity to the orexigenic effects of NPY may contribute to the hyperphagia observed in this model. | Fig. 1Enhanced food intake in PVN-lesioned as compared to sham-lesioned rats in response to intracerebroventricular injection of different doses of NPY. * p 0.05 vs. shams. a p<0.05 vs. food intake at 1 h post-injection. Reprinted from reference #7 (more ...) |
Although the PVN is believed to be a major site of action and interaction of the NPY and melanocortin systems [ 3, 26, 42], despite the absence of the PVN in the lesioned rats, sensitivity to the orexigenic effects of NPY is increased and, furthermore, melanocortin suppression of food intake was not altered [ 7] suggesting other target site(s) for the actions of these ligands. NPY has been shown to stimulate food intake when injected into many areas of the hypothalamus [ 37]. The dorsal vagal complex in the brainstem contains a high concentration of melanocortin receptors and is a site of POMC mRNA expression [ 13, 41, 43]. Thus, a broader view of possible sites of action of NPY and other feeding regulating neuropeptides may be necessary as the PVN does not appear to be essential for the orexigenic and anorexigenic effects of NPY and the melanocortin system. |
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